Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | MD00040335 | WA |
N | 208600000X | Surgeon | MD00040335 | WA |
Y | 2086S0120X | Pediatric Surgery | MD00040335 | WA |
NPI | 1053401943 |
---|---|
Provider Name | Adam B Goldin |
First Address | Seattle, WA 98105-3900 |
Second Address | Seattle, WA 98105-3901 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/10/2006 |
Last Update Date | 05/02/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
213350 | INTERNAL ID-MOTOR VEHICLE ID (01) | |
8428641 | (05) | WA |
I34367 | (02) |